Wiki Abnormal Nuclear Test

SDAlward

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There is debate going on regarding the code for abnormal nuclear stress test, R94.39, or R93.1? The problem is R94.39 is not on medicare guidelines for doing a PET, and our dr's do PET scans because the patient had an abnormal nuclear test. R93.1 is, but I don't want to use it just because it's on the LCD
 
We have concluded in our office that R93.1 seems acceptable. If I were coding for an abnormal "exercise" stress test with no contrasting agents, I would use R94.39. Since during a "nuclear" stress test we are taking images of the heart, R93.1 seemed appropriate.
 
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